Individual
TRACY CAMILLE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4545 E. 9TH AVE, SUITE 630, DENVER, CO 80220-3901
(303) 320-2929
(303) 320-2767
Mailing address
4900 S MONACO ST, SUITE 210, DENVER, CO 80237-3486
(303) 320-2929
(303) 320-2767
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1073937
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31777058
—
CO
05
—
60827211
—
CO
Enumeration date
03/29/2007
Last updated
04/04/2012
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